| NPI | 1063531283 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HALBERT C CAPUY Owner 706-863-5776 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208000000X Pediatrics | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| Enumeration Date | 2007-03-28 | 
| Last Update Date | 2025-09-11 |